Pena, Alvaro

Pena, Alvaro was paid $467K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.

33Billing provider infoPENA, ALVARO
BENSENVILLE, IL 60106

33aNPI1447220959assigned 01/25/2006

33bProvider typeFamily Medicine Physician

28Total paid$467K

24GClaims9,058

24DCodes billed22

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#213 of 2,947

Median peer was paid$43K

This provider vs. median11×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	816	$36K
2019	960	$44K
2020	1,403	$69K
2021	1,564	$78K
2022	1,467	$76K
2023	1,323	$71K
2024incomplete	1,525	$92K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	46%	3,147	2,710	$217K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	44%	4,226	3,670	$203K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.3%	125	120	$11K
90688		1.5%	374	297	$7K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	75	66	$6K
87428		<1%	59	59	$4K
0012A		<1%	84	63	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	240	208	$3K
0064A		<1%	64	64	$3K
0011A		<1%	98	67	$2K
90686		<1%	247	206	$2K
90658		<1%	84	37	$2K

10 more codes

99402		<1%	40	$1K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	12	$1K
90619		<1%	47	$848.58
0031A		<1%	17	$675.13
0072A		<1%	13	$547.82
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	16	$251.20
90656		<1%	14	$233.94
90651		<1%	14	$89.60
90734		<1%	13	$83.20
90460	Immunization administration through 18 years of age via any route, first or only component	0%	49	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.